Evidence map›Paper›PMID 41667980›Full record

ArticleBMC geriatrics2026

Frailty and quality of life in older ICU survivors: a scoping review of assessment tools and methodologies.

Gunhild Kjaergaard-Andersen, Rajesh Prabhakar Bhavsar, Hanne Irene Jensen, Linda Juel Ahrenfeldt, Niels Christian Hvidt, Thomas Strøm

Abstract readScoping Review
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gunhild Kjaergaard-AndersenDepartment of Anaesthesiology and Intensive Care Department, Hospital Sonderjylland, University Hospital of Southern Denmark, Odense, Denmark. gunhild.kjaergaard-andersen2@rsyd.dk.
Rajesh Prabhakar BhavsarDepartment of Anaesthesiology and Intensive Care Department, Hospital Sonderjylland, University Hospital of Southern Denmark, Odense, Denmark.
Hanne Irene JensenDepartment of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Linda Juel AhrenfeldtResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Esbjerg-Odense, Denmark.
Niels Christian HvidtResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Thomas StrømDepartment of Anaesthesiology and Intensive Care Department, Hospital Sonderjylland, University Hospital of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLife expectancy increases, leading to growth in an older population where frailty and comorbidities are more prevalent. Subsequent increased intensive care unit (ICU) treatment results in prolonged rehabilitation and post-discharge loss of physiological and intellectual functions, negatively influencing quality of life (QoL).

methodsThis scoping review aims to identify existing research on assessment methods for frailty, QoL, and health-related outcomes for these ICU survivors. The review followed Joanna Briggs Institute guidelines for scoping reviews and reported using the PRISMA-P checklist. Systematic searches were conducted in Embase, Medline, PsycINFO, and CINAHL (2013 to 2023). Included studies were primary, peer-reviewed, or empirical studies written in English or Scandinavian, patients aged 70+, admitted to ICU more than 48 h, and inclusion of both frailty and QoL. A librarian qualified the search. Two reviewers independently screened articles and extracted data; a third reviewer resolved discrepancies.

resultsA total of 5,198 articles were identified. Nine met the eligibility criteria. Different tools assessed frailty and QoL. For frailty, Clinical Frailty Scale, Karnofsky Performance Status, Modified Katz Index of Activities of Daily Living, Groningen Frailty Indicator, CGA questionnaire, or Barthel Index were used. A combination of scales (SF-12, SF-36, EQ-5D, EQ-5D-5 L, or EQ-5D-3 L), questionnaires, or interviews (regarding residential and functional status and self-reported health-related QoL) was used for QoL.

conclusionFrail older ICU survivors experience persistent physical, cognitive, and symptom-related challenges poorly captured by conventional QoL assessments, particularly regarding psychological and subjective experiences. The few studies addressing both frailty and QoL make it difficult to establish evidence, highlighting the need for standardised, multidimensional, patient-centred frameworks.

trial registrationNot applicable.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentIntensive Care UnitsQuality of LifeSurvivorsActivities of Daily LivingAgedAged, 80 and overHumansElderly frailGeriatricIntensive care unitQuality of life.

Identifiers

PMID41667980
PMCPMC13134141

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.